Management of Snakebites in the Upper Extremity

Edgerton, Michael T.; Koepplinger, Matthew E.

doi:10.1016/j.jhsa.2018.06.016

Cited by 15 publications

(22 citation statements)

References 13 publications

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“…Snake venom-related tissue destruction can lead to long-term pathophysiological, social and psychological effects on victims. 10,11 Among the intricate pathological changes, toxin-induced damage targeting cells and extracellular matrixes (ECMs) is an important factor for tissue destruction. PLA2 homologues are the principal mycotoxins destroying the integrity of the plasma membrane.…”

Section: Discussionmentioning

confidence: 99%

Local tissue necrosis and thrombocytopenia following Bungarus multicinctus envenomation in a child

Wang

Zhang

et al. 2021

Arch Argent Pediat

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Snakebite envenoming is a global public health problem. The pediatric population poisoned by snakebite envenoming has different features than adult patients. Bungarus multicinctus is a highly venomous species of the elapid snake. The documented clinical presentations following Bungarus multicinctus envenoming are minimal local reactions, respiratory failure, general pain, and life-threatening hyponatremia. We present an uncommon case of Bungarus multicinctus envenomation in a girl with unusual clinical findings, including severe tissue necrosis and thrombocytopenia with coagulopathy.

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Section: Discussionmentioning

confidence: 99%

Local tissue necrosis and thrombocytopenia following Bungarus multicinctus envenomation in a child

Wang

Zhang

et al. 2021

Arch Argent Pediat

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“…La destrucción tisular relacionada con el veneno de serpiente puede producir efectos fisiopatológicos, sociales y psicológicos a largo plazo en las víctimas. 10,11 Entre los cambios patológicos complejos, el daño inducido por el veneno en las células y las matrices extracelulares (MEC) es un factor importante para la destrucción tisular. Los homólogos de las FLA2 son las principales micotoxinas que destruyen la integridad de la membrana plasmática.…”

Section: Discussionunclassified

Necrosis tisular local y trombocitopenia después de una intoxicación por mordedura de Bungarus multicinctus en una niña

Wang¹,

Wang²,

Zhang³

et al. 2021

Arch Argent Pediat

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“…There is no adequate data on the epidemiology of snakebite in Southeast Asia, and there is no definitive data of snakebite cases in Indonesia either WHO estimates 421,000 snakebite cases, with 20,000 deaths occurring in South Asia. 4,15 The aids for venomous snakebites are patients should be stabilized and transferred to the health care facility that provides antivenom as soon as possible, the affected part of the bite should be immobilized, lower than the heart, the straps such as watches and jewelry should be removed, and the patients should be immobilized as long as possible, the use of vein compression binders or pressure immobilization is still controversial. However, this technique may be beneficial in cases with delayed transport, and the victims present with systemic symptoms of poisoning such as hypotension, the benefit of suction tools to remove toxins is still debatable, use of cryotherapy, incision, or excision of the bite area, arterial tourniquet, and electroshock therapy as part of emergency therapy should be avoided.…”

Section: Discussionmentioning

confidence: 99%

Clinical Manifestation and Management of Terrestrial Animal Bites

Sasmito

Sawitri

2021

BIKK

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Background: Terrestrial animal bites wounds are injuries caused by terrestrial animals' mouths and teeth. Aerobic and nonaerobic bacteria cause 30–60% of the secondary bacterial infections due to animal bites. Rabies is an infectious disease and it is the most dangerous viral infection caused by animal bites. Also, venomous animal bites can be fatal and cause death if not treated well. Purpose: To identify the clinical manifestation, first aid, and management of terrestrial animal bites to reduce morbidity and mortality. Review: Wounds and crush injuries caused by animal bites are prone to infection. Aerobic bacteria, such as Pasteurella multocida, Staphylococcus spp. (including methicillin–resistant Staphylococcus aureus (MRSA)), Capnocytophaga canimorsus, and Bartonella henselae, and anaerobic bacteria, such as Porphyromonas spp. are commonly found pathogens in animal bite wounds. Rabies, the most dangerous viral infection, occurs in wounds infected by the rabies virus. The virus enters the nerve tissue, multiplies, and spreads to the central nervous system. This can cause disability, and it is life-threatening. In snakebites, management of basic life support, transportation to the hospital, clinical assessment, and immediate resuscitation are the most important procedures. Conclusion: Animal bite wounds are injuries caused by animals' mouths and teeth. Dogs, cats, and snakes are terrestrial animals that most likely attack humans. Proper diagnosis, first aid, and comprehensive management are needed to reduce morbidity and mortality.

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Management of Snakebites in the Upper Extremity

Cited by 15 publications

References 13 publications

Local tissue necrosis and thrombocytopenia following Bungarus multicinctus envenomation in a child

Local tissue necrosis and thrombocytopenia following Bungarus multicinctus envenomation in a child

Necrosis tisular local y trombocitopenia después de una intoxicación por mordedura de Bungarus multicinctus en una niña

Clinical Manifestation and Management of Terrestrial Animal Bites

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